Rates have increased an overall average of 2.24% on our Core HMO plans and 3.28% on our Access PPO plans. Product and plan updates. Kaiser Permanente Washington offers health insurance and medical care in Washington state. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. Compare Your Options Plan Brochure. Documents listed here are current as of December 8th, 2020. We will continue to provide excellent care to our members through a broad array of virtual care options and in person when necessary. 4 0 obj Please call Member Services to speak with a representative Monday through Friday, 8 a.m. to 8 p.m.. 1-888-901-4636 (TTY 711) To check member eligibility and benefits sign on using your OneHealthPort credentials and click Eligibility Inquiry . When members need in-person care away from home, they should first call Member Services at 1-888-901-4636 (TTY 711) to find the closest in-network option. Members are entitled to Covered Services from the following: • Your Provider Network is KFHPWAO’s Summit PPO Network, referred to … Access PPO and Options Federal include prescription coverage at all Kaiser Permanente Washington pharmacies and mail order, contracted pharmacies, and the OptumRx national pharmacy network. The Kaiser Foundation Health Plan of Washington Options, Inc. Federal PPO provides access to an expansive network of local, statewide, and nationwide participating providers. Generally, the care you receive from preferred providers will be covered at a higher benefit level than care received by nonpreferred providers. 3 0 obj Contact Kaiser Permanente Member Services at 206-630-4636 or toll-free 1-888-901-4636 for benefits questions. For information on how to select a personal physician, and for a list of the participating personal physicians, please call Kaiser Permanente Member Services at (206) 630-4636 in the Seattle area, or toll-free in Washington, 1-888-901-4636. Think higher cost with greater flexibility. See doctors in your network, choose a doctor, and use the cost estimator. II. Kaiser Permanente WA Access PPO 2 The Access PPO 2 plan has a lower monthly employee contribution than Access PPO 3, but with a higher out-of-pocket maximum and a higher annual deductible for medical services. In-network care is provided by Kaiser Permanente providers and more than 16,000 contracted providers 1 within our 18-county service area and by First Choice Health network providers in Washington counties not in our service area. endstream endobj 1144 0 obj <. endstream endobj startxref The plans offered by Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., give you choices. If you have any questions or need help with any of the PPO providers, you may contact their customer support at: First Choice Health Network 1-800-467-5281. You can choose Core HMO plans with in-network coverage featuring high-quality health care providers or Access PPO plans with broad physician choice from any licensed provider and care when needed. An extremely limited number of COVID-19 vaccine doses have started arriving at Kaiser Permanente facilities, and we are currently administering… Read More Dec 15, 2020 1. (Members receiving care in all states EXCEPT OR, WA, ID, MT, WY, ND, SD, and AK.) When you choose these doctors—and other select high-performing Washington providers in the major areas we serve—you'll enjoy the reduced cost shares seen in the "In network enhanced" column. Quick links. This card lists the member's name, ID number, and health plan network. How Covered Services Work A. Accessing Care. KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. Kaiser Foundation Health Plan of Washington Options, Inc. stream 1 0 obj Summaries of Benefits and Coverage - English ... 2021 Access PPO VisitsPlus Silver LX EO 2021 Access PPO VisitsPlus Gold LX Search for doctors, medical centers, pharmacies, and walk-in clinics. Copayment waived if admitted directly to the hospital as an inpatient. KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. The Elect PPO 2 plans provide the choice and flexibility of getting in-network care from the high-performing Kaiser Permanente provider network within our Washington service area and from the broad provider networks of First Choice Health and First Health outside of our Washington service area.. Kaiser Permanente providers, medical facilities, and pharmacies Plan hospitals, plan physicians, and other plan providers, and the services available at plan facilities, are subject to change at any time without notice. Our 2021 small group portfolio offers 23 plan options. You must notify Kaiser Permanente within 24 hours if admitted to an Out-of-network provider; limited to initial emergency only. Kaiser Permanente 1-866-616-0047 (TTY 711) endobj We issue ID cards to all members. L'��620���a�g� y�mC���eL�[�x�D�hf�2:|�c�bX�y��ہ���@�����%Hs30�s2��ź�H10�?Ҍ@!s� �;. Developed in collaboration with Delta Dental of Washington, our Health360 plan offers integrated dental benefits for whole body health. Kaiser Permanente WA Options members can choose from thousands of network providers throughout our service area and nationwide. 2021 Kaiser Permanente Small Group Plan Documents Compare Plan Options. 1143 0 obj <> endobj Drug formulary Kaiser Permanente's drug formulary is a list of medications covered by your health plan. KFHPWAO’s Access PPO network and who is available to accept the Member or the Member’s family members. An Eligibility Inquiry demo is available to assist you. Coverage for: Individual / Family | Plan Type: PPO Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/1/2020 – 12/31/2020 : School Employees (SEBB) Access PPO 3 All plans offered and underwritten by Kaiser Foundation Health Plan of Washington Options, Inc. 1 of 7 QR-83107-1 … Find out Kaiser Permanente's list of medications covered by Individual and Family, Medicare Advantage, Small Employer Group, Large Employer Group, and FEHB plans. 2 0 obj For information on how to select a personal physician, and for a list of the participating personal physicians, please call Kaiser Permanente Member Services at (206) -4636 in the Seattle area, or toll630 -free in Washington, 1-888-901-4636. <> For information on how to select a personal physician, and for a list of the participating personal physicians, please call Kaiser Permanente Member Services at (206) 630-4636 in the Seattle area, or toll-free in Washington, 1-888-901-4636. Kaiser Permanente. Small group benefit changes include: Choose from 2 new Virtual Plus, 9 Core HMO, 9 Access PPO, and 3 Elect PPO plans. Coverage for: Individual / Family | Plan Type: PPO Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/1/2020 – 12/31/2020 : School Employees (SEBB) Access PPO 1 All plans offered and underwritten by Kaiser Foundation Health Plan of Washington Options, Inc. 1 of 7 QR-83109-1 �����N9�*�?��rA�Kx���Ю�V';i���U�:ᝪ���`�h`��`��`� 29::�����(�1 1190 0 obj <>stream 0 Kaiser Permanente 1-866-616-0047 (TTY 711) Care from a First Choice Health network provider within our 18-county service area is covered at the out-of-network benefit level. %PDF-1.5 %���� h�b```��,�@(� By combining a Kaiser Permanente health plan with a Delta Dental PPO plan, members enjoy access to high-quality Kaiser Permanente medical care and the nation’s largest contracted network of dentists in a single package. Kaiser Permanente provides coverage to employer groups, government programs, individuals, and families through the Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington Options, Inc. <>/Metadata 1450 0 R/ViewerPreferences 1451 0 R>> Staying healthy is easier with the right support. Questions? Use the Kaiser Permanente Washington Plan Comparison Tool to find the plans available to you in your area. Our Access PPO plans include all of the features and services that are part of our award-winning HMO plans. x��}[o9����|X,���N2y�l4z���{�3ӽm`0h�\*I��T���u�A2odd�2)m-�������1"����asq�:d?������lu�>��x�~{8lo����ǻ��_�.7�g�������_���a������>d�|����cU��"�5���n�����-�}����ׯ�}d����ׯ�iTd,E.D�E�E���4��w�]���e��[�~����?N����>���W6_���WG��!���\V�"gRg�Ӱ0�D��������_O��ӷ���>&�Ks�Wj6],%����n. Exclusive high performing network that includes Washington Permanente Medical Group with select medical groups and providers to provide coverage in 6 core counties at the Tier 1 level, Tier 2 are the remaining providers in the Access PPO … A PPO plan is also generally more expensive than an HMO plan. First Health Network 1-800-226-5116. Preventive care to Permanente or non–Kaiser Permanente hospital The Options PPO plan offers you two levels of coverage: preferred providers and nonpreferred providers. Kaiser Permanente Washington Options Federal. Coverage for: Individual / Family | Plan Type: PPO Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/1/2020 – 12/31/2020 : School Employees (SEBB) Access PPO 2 All plans offered and underwritten by Kaiser Foundation Health Plan of Washington Options, Inc. 1 of 7 QR-83108-1 Members also get exclusive access to Kaiser Permanente WA‘s Washington Permanente Medical Group. Emergency medical ... Kaiser Permanente WA Options Access PPO 2 … Your search results will reflect these temporary changes. (Members receive care in all states EXCEPT OR, WA, ID, MT, WY, ND, SD, and AK.) %%EOF To meet patient needs related to COVID-19, some Kaiser Permanente locations and providers are temporarily not available for in-person care. 2 Kaiser Permanente Access PPO Plans | Contents Your Kaiser Permanente Member Guide The information in this Member Guide is updated from time to time and is current as of November 2020. %���� And we include incentives, such as lower cost shares, to encourage your employees to engage with Kaiser Permanente physicians and receive nationally recognized care. Kaiser Permanente Medicare Advantage members should call Medicare Member Services at 1-888-901-4600 (TTY 711), 7 days a week, 8 a.m. to 8 p.m. Kaiser Permanente urgent care. For information on how to select a personal physician, and for a list of the participating personal physicians, please call Kaiser Permanente Member Services at (206) -4636 in the Seattle area, or toll630 -free in Washington, 1-888-901-4636. If you have any questions or need help with any of the PPO providers, you can also call them: First Choice Health Network 1-800-467-5281. While HMO and PPO plans are the 2 most common plans, especially when it comes to employer-provided health insurance, there are other plan types you should know about, including EPO and POS plans. Other types of health plans. endobj You can compare benefit information, networks, and monthly premiums. h�bbd``b`� ��� �~H0j�X��tK���@D%��$XA�T�W4�p�{d� �T�����2��q`����� qUh <> Broad physician choice, including: Kaiser Permanente providers at our medical facilities, where you can get many services under one roof; First Choice Health and First Choice networks, located in the State of Washington or throughout the United States, which allows you to keep your doctor in most cases Enhanced benefit: Access PPO is the only PPO network that gives you in-network access to the quality doctors at Kaiser Permanente medical offices. 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